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贝托洛蒂综合征的患病率及管理的最新进展。

An update on the prevalence and management of Bertolotti's syndrome.

作者信息

Rakauskas Taylor R, Gallup Shannon, Mohamed Ali A, Nasice Jude, Westerhaus Benjamin

机构信息

Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.

Cantor Spine Center at the Paley Institute, West Palm Beach, FL, United States.

出版信息

Front Surg. 2024 Dec 12;11:1486811. doi: 10.3389/fsurg.2024.1486811. eCollection 2024.

DOI:10.3389/fsurg.2024.1486811
PMID:39726766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11669649/
Abstract

Bertolotti's Syndrome, a subset of lumbosacral transitional vertebrae (LSTV), is one cause of chronic low back pain (LBP), and a commonly overlooked differential diagnosis. The incidence of Bertolotti's Syndrome has been underestimated in the past and is common in those of younger ages around 30-40. Although diagnostics, imaging methods, and treatment algorithms have been improved in the past few years, there is no gold standard and more long-term, prospective research is needed. The purpose of this mini-review is to increase awareness of Bertolotti's Syndrome, discuss recent advancements in treatment algorithms, and highlight current gaps in the literature.

摘要

贝托洛蒂综合征是腰骶部移行椎(LSTV)的一个子集,是慢性腰痛(LBP)的一个病因,也是一种常被忽视的鉴别诊断。过去,贝托洛蒂综合征的发病率被低估,在30 - 40岁左右的年轻人中很常见。尽管在过去几年里诊断方法、成像技术和治疗方案有所改进,但尚无金标准,仍需要更多长期的前瞻性研究。本综述的目的是提高对贝托洛蒂综合征的认识,讨论治疗方案的最新进展,并突出当前文献中的空白。

相似文献

1
An update on the prevalence and management of Bertolotti's syndrome.贝托洛蒂综合征的患病率及管理的最新进展。
Front Surg. 2024 Dec 12;11:1486811. doi: 10.3389/fsurg.2024.1486811. eCollection 2024.
2
Surgical Treatment of a Rare Presentation of Bertolotti's Syndrome from Castellvi Type IV Lumbosacral Transitional Vertebra: Case Report and Review of the Literature.Castellvi IV型腰骶部移行椎所致罕见Bertolotti综合征的手术治疗:病例报告及文献复习
J Neurol Surg Rep. 2018 Jul;79(3):e70-e74. doi: 10.1055/s-0038-1667172. Epub 2018 Jul 30.
3
Minimally invasive tubular resection of the anomalous transverse process in patients with Bertolotti's syndrome: presented at the 2013 Joint Spine Section Meeting: clinical article.Bertolotti 综合征患者横突异常的微创管状切除术:2013 年脊柱关节分会会议介绍:临床文章。
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A Proposed Treatment Algorithm for Low Back Pain Secondary to Bertolotti's Syndrome.一种针对继发于贝托洛蒂综合征的下腰痛的治疗算法建议。
Pain Physician. 2024 Feb;27(2):E275-E284.
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An Unusual Case Report of Bertolotti's Syndrome: Extraforaminal Stenosis and L5 Unilateral Root Compression (Castellvi Type III an LSTV).一例罕见的贝托洛蒂综合征病例报告:椎间孔外狭窄与L5单侧神经根受压(卡斯特尔维III型和腰椎骶化)
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本文引用的文献

1
A systematic review and bibliometric study of Bertolotti's syndrome: clinical characteristics and global trends.贝托洛蒂综合征的系统评价和文献计量学研究:临床特征和全球趋势。
Int J Surg. 2023 Oct 1;109(10):3159-3168. doi: 10.1097/JS9.0000000000000541.
2
Redefining the Classification for Bertolotti Syndrome: Anatomical Findings in Lumbosacral Transitional Vertebrae Guide Treatment Selection.重新定义 Bertolotti 综合征的分类:腰骶移行椎的解剖学发现指导治疗选择。
World Neurosurg. 2023 Jul;175:e303-e313. doi: 10.1016/j.wneu.2023.03.077. Epub 2023 Mar 23.
3
Redefining the Treatment of Lumbosacral Transitional Vertebrae for Bertolotti Syndrome: Long-Term Outcomes Utilizing the Jenkins Classification to Determine Treatment.重新定义 Bertolotti 综合征腰骶移行椎的治疗方法:利用 Jenkins 分类法确定治疗方案的长期结果。
World Neurosurg. 2023 Jul;175:e21-e29. doi: 10.1016/j.wneu.2023.03.012. Epub 2023 Mar 8.
4
Endoscopic Resection of Pseudoarticulation as a Treatment for Bertolotti's Syndrome.内镜下切除假关节作为治疗贝托洛蒂综合征的一种方法。
Cureus. 2023 Jan 5;15(1):e33397. doi: 10.7759/cureus.33397. eCollection 2023 Jan.
5
Prevalence and severity of Bertolottis syndrome in Malaysia: A common under diagnosis.马来西亚贝托洛蒂综合征的患病率和严重程度:一种常见的诊断不足情况。
Malays Fam Physician. 2022 Oct 18;17(3):121-127. doi: 10.51866/oa.64. eCollection 2022 Nov 30.
6
Lumbosacral transitional vertebrae: prevalence in a southern European population and its association with low back pain.腰骶部移行椎:南欧人群中的患病率及其与腰痛的关联。
Eur Spine J. 2022 Dec;31(12):3647-3653. doi: 10.1007/s00586-022-07415-4. Epub 2022 Oct 8.
7
Prevalence of Bertolotti's Syndrome in Lumbosacral Surgery Procedures.腰椎手术中贝托洛蒂综合征的患病率。
Cureus. 2022 Jun 26;14(6):e26341. doi: 10.7759/cureus.26341. eCollection 2022 Jun.
8
Operative Treatment of Bertolotti Syndrome: Resection Versus Fusion.Bertolotti 综合征的手术治疗:切除与融合。
World Neurosurg. 2022 Sep;165:e311-e316. doi: 10.1016/j.wneu.2022.06.042. Epub 2022 Jun 16.
9
Effect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial.骶骨化对腰椎经椎间孔硬膜外类固醇注射治疗成功的影响:前瞻性临床试验。
Skeletal Radiol. 2023 Oct;52(10):1949-1957. doi: 10.1007/s00256-022-04089-3. Epub 2022 Jun 15.
10
A Comprehensive Update of the Treatment and Management of Bertolotti's Syndrome: A Best Practices Review.贝尔托洛蒂综合征治疗与管理的全面更新:最佳实践综述
Orthop Rev (Pavia). 2021 Jun 22;13(2):24980. doi: 10.52965/001c.24980. eCollection 2021.